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CITY OF CARMEL, INDIANA VENDOR: 154252
ONE CIVIC SQUARE INDIANA OXYGEN CO CHECKAMOUNT: S*******142.95*
CARMEL, INDIANA 46032 PO BOX 78588 CHECK NUMBER: 320721
INDIANAPOLIS IN 46278 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER. AMOUNT DESCRIPTION
2201 4231100 08475825 142.95 BOTTLED GAS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 154252
INDIANA OXYGEN CO IN SUM OF$ CITY OF CARMEL
PO BOX 78588 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
INDIANAPOLIS, IN 46278
Payee
$142.95
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
08475825 42-311.00 $142.95 1 hereby certify that the attached invoice(s),or 12/31/17 08475825 $142.95
2201 2201 Prior Year .2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,January 08, 2018
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-104.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Mnl^I41 h EtiD ,__ .e,Sc9:— DYCIt,oEP E:SiEN�ED
IT: INyg3 UAE IhVUIGE BALANCE oriiFPEO Kc JhiJ D BALANCE' CYLINDERS �'� RAIE iAMOl1NT
ALY ACETYLENE 3 1 1 3 0 93 .499 46.41.
ARG ARGON 2 0 0 2 1 31 .459 14.23
CO2 CARBON DIOXIDE 1 0 0 1 0 31 .459 14.23
MIX MIX GASES 2 2 2 2 0 62 .459 28.46
OXY OXYGEN 2 1 1 2 0 62 .459 28.46
CMF ASSET MANAGEMENr FEE 11.16 11.16
TAX: .00
CARMEL STREET DEPT CUSTOMER: 07851142.95
TOTAL,,, '
3400 W 131ST ST INVOICE: 08475825
CARMEL IN 46074 INVOICE DATE: 12/31/17
TOTAL CYL VALUE: 3000.00 PIO:
INDIANA OXYGEN COMPANY • P.O. BOX 78588• INDIANAPOLIS, IN 46278-0588